is this a form of medicaid abuse?

[sasha2lady]

I have an aide I work with who is just one yr older than me...27...she has 6 kids! 4 of them are in diapers still....4 of them have the same dad who was killed (was on drugs etc according to her)...the other 2 have different dads and are 1 yr old and 4 mos old. ...anyways...She works prn and makes less than 10/ hr. She gets all kinds of assistance...her rent is paid, she gets right at 1000.00/mo in food stamps (which by the way SHE SELLS), her electric bills are paid and she doesnt have to buy diapers, formula, or pay for her kids insurance as every one of them get medicaid....including herself somehow. With this 6th baby..all of us at work stayed on her about the need to get her tubes tied. She did...now she says that when she 'COLLECTS MONEY" from someones insurance that hit her car a few mos back that she is going to get them un tied. Now....to add to this....we pay for her kids plus thousands more ....which im sure need the help....but...she also told me that during all of her pregnancies she drank and did some drugs. She made the comment about getting her tubes untied the other night at work and said "well..I didnt even have to pay to get them tied"...and I d had it! I said to her...'yea...we know you didnt pay for it...all of us that work in this county paid for it...just like we pay for all these babies and the food stamps that get sold"....I asked her what she would do if the state decided to say ok....medicaid is not going to pay for your medical bills any longer..we will just pay 80 percent and you will be responsible for the remaining 20...and for each md visit you will have a 30.00 copay and for each ER visit you will be required to pay a 100.00 copay along with what we wont cover. And you will have to pay a yearly deductible x amt for each child that recieves medicaid.......??...she couldnt answer me. The most likely answer is that she wouldnt pay the bills. ...I also asked her how she'd feed her kids if the state had to cut funds for food stamps? I mean ...you must not be in dire need of that much if you're selling them right? I think this is a huge abuse of the states assistance to lower income people and its how alot of laid off workers families get denied benefits around my area. It just burns me up when I hear her talk about all the help she gets and there are so many other people who have no kids or just 1 or 2 that cant get by in these economic times. Did I mention she drives a new escalade? its to full capacity as far as passengers and car seats go......shes even said before that when she takes one kid to the er or md ...she makes sure all of them get seen....and she frequents the er...its become nearly weekly at the taxpayers expense. Im just not understanding how any state can allow this nonsense to go on. I dont know a whole lot about politics and all this healthcare reform business...but am I wrong to think that this is abuse of our system ?

[Soyrizo]

Often times the people who are driving expensive cars while living on public assistance have, excuse the politically incorrect term, a sugar daddy paying for it. Basically, they poor mouth their way into all the assistance they can receive by claiming they are single, and the other half spends whatever income (usually from drugs) on expensive cars, large screen TVs, etc. It's pretty pathetic. It also means bye-bye Escalade when sugar daddy leaves, and they always leave.

So yes, report her. If she is involved in drugs and it's questionable if her kids are being fed adequately if she is selling the food stamps, then it would be best for the kids for an investigation to happen.

[PostOpPrincess, BSN, RN]

The type of person who gives those who truly need medicaid as a bridge to a better life a bad rep.

Ugh. I don't think I want to be breathing the same oxygen as this leech.